TOP 5 JOINT COMMISSION REQUIREMENTS THAT WERE MOST FREQUENTLY CITED AS NON-COMPLIANT JAN - JUNE 2010 The Joint Commission collects data on organizations’

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Presentation transcript:

TOP 5 JOINT COMMISSION REQUIREMENTS THAT WERE MOST FREQUENTLY CITED AS NON-COMPLIANT JAN - JUNE 2010 The Joint Commission collects data on organizations’ compliance with standards, National Patient Safety Goals, the Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™, and Accreditation and Certification Participation Requirements to identify trends and focus education on challenging requirements. The table below identifies the top five Joint Commission requirements that were most frequently identified as “not compliant” for the first half of 2010 for accredited organizations and certified programs.

TOP 5 JOINT COMMISSION REQUIREMENTS THAT WERE MOST FREQUENTLY CITED AS NON-COMPLIANT JAN - JUNE 2010 JC Program: Laboratory and Point-of-Care Testing % CitationsStandardRequirement 51%OSA The laboratory participates in Centers for Medicare & Medicaid Services (CMS) – approved proficiency testing programs for all regulated analytes. 38%OSA DC The laboratory performs calibration verification. The laboratory report is complete and is in the patient’s clinical record.

TOP 5 JOINT COMMISSION REQUIREMENTS THAT WERE MOST FREQUENTLY CITED AS NON-COMPLIANT JAN - JUNE 2010 JC Program: Laboratory and Point-of-Care Testing % CitationsStandardRequirement 31%WT The organization maintains records for waived testing. 28%TS The organization uses standardized procedures for managing tissues.